ArticleArthroscopy techniques2023
Tibial Tubercle Osteotomy With Distalization for the Treatment of Patella Alta.
Article in Arthroscopy techniques, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Surgical management of first-time patellar dislocations in paediatric patients may lower rates of redislocation compared to conservative management: A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- Patellar Tendon Imbrication With a Double-Row Configuration for the Treatment of Patella Alta in Skeletally Immature Patients.Arthroscopy techniques · 2026Article
- Distal cortical notching significantly decreases tibial stability following tibial tubercle osteotomy: An in vitro porcine biomechanical study.Journal of experimental orthopaedics · 2026Article
- Combined trochleoplasty and medial patellofemoral ligament reconstruction reduces patellar height.Journal of experimental orthopaedics · 2026Article
- Return to Alta: Patellar Height Increases Over Time After Tibial Tubercle Osteotomy With Distalization.Orthopaedic journal of sports medicine · 2025Article
- Supratrochlear Rim Resection: Autologous Matrix-Induced Chondrogenesis-Based Arthroscopic Technique for Patients With Isolated Patellar Chondromalacia.Arthroscopy techniques · 2025Article
- Incidence, indications, and risk factors for revision tibial tubercle osteotomy: A national database study.Journal of experimental orthopaedics · 2025Article
- Patellar instability: current approach.EFORT open reviews · 2025Article
- Reasons for and Complications Following Revision Tibial Tubercle Osteotomy.Orthopaedic journal of sports medicine · 2025Article
- Tibial Tubercle Osteotomy: Indications, Outcomes, and Complications.Current reviews in musculoskeletal medicine · 2024Review
- Lateral Retinacular Lengthening Alongside Distalization TTO and Medial Ligamentous Complex Reconstruction: A Technical Note.Video journal of sports medicineArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
One of the most common osseous abnormalities associated with patellar instability and patellofemoral osteochondral disease is patella alta, characterized by an Insall-Salvati ratio ≥1.2 or a Caton-Deschamps Index ≥1.2. Despite being the most common surgical treatment option for patella alta, tibial tubercle osteotomy with distalization raises concerns due to the complete detachment of the tubercle, which may lead to damage of local vascularity from periosteal detachment and increased mechanical stress at the attachment site. These factors are related to greater risk of complications, such as fractures, loss of fixation, delayed union, or nonunion of the tuberosity. We describe a technique for tibial tubercle osteotomy with distalization that aims to minimize these complications through care with the osteotomy, stabilization, bone cut thickness, and local periosteum.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.